Chapter 67 This is not food poisoning, but poisoning
After Lu Cheng and Mao Lei walked out of the demonstration classroom, most of the people followed behind, but a few people were not interested. They still sat in their original seats and did not take Lu Cheng's lecture seriously.
Cao Xiaohe was one of the people sitting there. He was about to stand up and walk out when he was stopped by a man wearing a mask next to him and said, "This Lu Cheng is very interesting. Have you recognized him before?"
"
The person who spoke was a middle-aged man with a slightly stout figure, but he had no intention of standing up and following him out.
Cao Xiaohe was stunned for a moment when he heard this. Of course he knew Lu Cheng. Maybe Lu Cheng didn't know him yet, but he had a deep memory of Lu Cheng. However, Lu Cheng unexpectedly came to him in just one morning.
Has it entered Teacher Yu’s eyes?
The person sitting next to Cao Xiaohe is not from the Changshi Health System. He is an associate professor in the emergency department of the Second Xiangya Hospital. The purpose of his coming here is not to listen to Lu Cheng's class, but mainly for Cao Xiaohe.
Come.
But now, Cao Xiao and himself have not yet established a relationship with Teacher Yu. Fortunately, Lu Cheng has aroused Teacher Yu's interest in advance.
Cao Xiaohe nodded: "I met him during a consultation before. He is a very excellent young doctor."
Cao Xiaohe felt that he couldn't understand Lu Cheng at all, so he could only use a word of praise that was astonishing.
The middle-aged man nodded slightly and said, "If you want to go see a doctor, go and see him together. He is right. A good emergency doctor and basic physical examination are very important. He just talks about it.
The real skill is still in your hands."
Cao Xiaohe was silent for a moment and asked, "Teacher Yu also wants to take a look?"
"Just go and have a look, there's nothing else to do anyway."
…
After Lu Cheng walked to the emergency department, he, Mao Lei and others conducted relatively quick and comprehensive physical examinations on four patients one after another, and they confirmed the details that Lu Cheng had mentioned in class.
Everyone looked a little stunned.
This subsequent confirmation and the initial inference are two different things. Now everyone knows that there is food poisoning. Even a resident doctor will deduce the symptoms based on this idea.
It is not that simple to draw conclusions from symptoms, to exclude so many other diagnoses in an instant, and to give the most appropriate, appropriate, and realistic diagnosis.
Especially when Dong Yihe had such a classic sign of cerebrovascular disease, it was really not easy to be able to deduce so much in such a short time.
This young doctor looks young and has a high standard.
Some people used to think that Lu Cheng was a coincidence, a guess, or just bad luck, but now, almost no one thinks so.
The four patients spent more than half an hour. This time, plus the ten minutes Lu Cheng talked about before, the total is close to an hour. This time is more appropriate as a length of experience sharing.
Just when he was about to finish, two more people, one man and one woman, hurried in at the door of the emergency department.
The reason why there are two legs and two people is that the woman was carried in by the man. Before she even registered at the door, she shouted: "Doctor, doctor, save my girlfriend."
A man and a woman were both in their mid-twenties. The man's face was full of anxiety, and he walked through the entrance passage of the emergency room while holding the girl in his arms.
The girl is very delicate, with fair skin, and long hair hanging down the man's princess hug. The hair is of good quality and is floating in the air.
If it weren't for the girl's limbs being stiff, her hands like chicken claws unable to open, her mouth trembling slightly, she wanted to speak but couldn't, the tears in her eyes were rolling, dripping from the silkworm's body to both cheeks, with a pleading look in her eyes
Looking at the group of people in white coats here, everyone probably thought that these two were here to show their affection.
Seeing two people, everyone's heart sank again. Good guys, here comes another one. It seems that many people have suffered from food poisoning today.
Very typical symptoms of hypokalemia and strong eyes, which can basically rule out cerebrovascular diseases.
However, when they saw this girl, Cao Xiao and Yu Youlin next to him lit up their eyes and whispered: "A very interesting patient is here. Let's see what Lu Cheng will do."
Cao Xiaohe was stunned after hearing what Yu Youlin said.
What do you mean, this is not food poisoning?
He looked at Yu Youlin, but Yu Youlin seemed to have no intention of decrypting it.
A doctor from the emergency department rushed to meet him and asked the man to put his girlfriend on the gurney: "What did you eat this morning? Did you eat powder?"
When the man heard that the doctor was still chatting with him, he became anxious: "My girlfriend suddenly fainted. Doctor, please take a look at her quickly!"
The doctor in the emergency department may feel that he did not express himself clearly: "Did you eat Deyuan's powder, then vomited and had diarrhea, and suddenly fainted? Is this a problem? It's very important. We collected several of them in the morning
Similar patients. This is food poisoning."
The man said excitedly: "Deyuan's fans? What kind of fans? What does my girlfriend's fainting have to do with eating fans, doctor?"
"It was all my fault. I shouldn't have quarreled with her. I was quarreling towards Lin'er and suddenly couldn't speak. My hands and feet became stiff and I almost fell over. I quickly sent her over."
"We didn't even have time to have breakfast this morning."
After saying that, he quickly comforted Lin'er and said, "I was wrong, Lin'er. I promise not to quarrel with you in the future."
Maybe he felt that this doctor was unreliable, so he let go of his girlfriend's hand, faced the white coat walking towards them, and immediately said: "Doctor, doctor, come and see my girlfriend."
These words made the doctor who treated the patient look a little unhappy, but the director of the emergency department and many VIP guests from other hospitals came up, so he could only retreat temporarily.
Mao Lei hurriedly said: "Young man, don't be anxious and finish your sentence slowly. What's going on between you and your girlfriend?"
"Huang Xia, Huang Xia, come here." After asking, Mao Lei quickly called a nurse over.
If they want to perform a physical examination on a female patient, a female medical staff or family member must be present, and naturally it is best to have both.
While asking, Mao Lei had already started palpating the abdomen. The other doctors following him stood on tiptoes from behind to see what was going on. Although they had looked at four before, they only had the observation position of one bed.
There are only a few of them, so there are actually some people who haven’t seen them yet.
The people who watched it also stepped back in a more gentlemanly manner, giving way to those who didn't watch.
Only then did the man start to organize his words: "I just woke up in the morning and I had an argument with my girlfriend over a trivial matter. Later, she talked a little too much, so I started to quarrel with her. We didn't even quarrel for a few words, and that was it."
"Doctor, what is going on?"
After Mao Lei heard this and finished the palpation, his heart suddenly sank.
This is not food poisoning, this is clearly an epileptic attack!
There is no gastrointestinal pattern in the abdomen and nothing has been eaten.
Mao Lei quickly asked: "Has the patient had a history of epilepsy before? His current condition is very much like an epileptic attack."
The boy shook his head after hearing this: "No, my girlfriend and I have been together for four years and I haven't heard of it."
Mao Lei thought to himself, it would be weird if you could find out. If you knew it, it would probably be over long ago. Epilepsy is a mental illness. Who wants to be with a mental illness? He looked at the girl, who shook her head very stiffly.
expressed denial.
Mao Lei couldn't believe what the girl said, so he said: "Xiaofeng, quickly order a head CT and neuroelectromyography for the patient, and call the neurology department immediately for consultation."
Mao Lei's words immediately made the others interested. My dear, I only looked at food poisoning today. I didn't expect that there would be melons to eat in such a very similar situation.
But at this moment, after Mao Lei performed a physical examination on the patient, Lu Chengcai continued to do it himself.
Just after the procedure, the abdomen and side chest were palpated and percussed. The patient was a girl, and the chest was a special location. If it wasn't a particularly urgent life-saving time, Lu Cheng certainly didn't want to go into troubled waters.
But Lu Cheng felt something wasn't right on the girl's side chest.
At this time, Lu Cheng suddenly said to the nurse station: "Nurse teacher, please bring a mask over here!"
The nurse on duty in the emergency room didn't care who called her. When she heard this, she subconsciously rushed over with the oxygen machine and mask.
Emergency rooms are often fatal.
When Mao Lei heard Lu Cheng shouting, he turned around and asked, "Xiao Lu, what did you see?"
Lu Cheng said: "I guess this girl is still poisoned. But it's not food poisoning, but alkalosis caused by hyperventilation syndrome. It happens more often in girls. The common triggers are excitement and work pressure. The most common ones are male and female friends.
Quarrel between husband and wife is relatively rare."
Lu Cheng thought of the textbook on internal medicine that he had just reviewed for the postgraduate entrance examination, and immediately realized that it was this thing.
After hearing this, Mao Lei was stunned for a moment, then suddenly realized, and then his expression became a little stiff like the girl.
Chapter completed!